MINIMALISASI RANSANGAN MELALUI MUSIK MOZART PADA PASIEN HALUSINASI PENDENGARAN: A CASE REPORT

Introduction: Auditory hallucinations were one of the major symptoms in patients with schizophrenia, seriously affecting their quality of life and social functioning. The pharmacological approach was still the main choice, but it was not free from side effects. Music therapy, especially Mozart's music, had been developed as an effective and non-invasive non-pharmacological alternative. This study aimed to evaluate the effectiveness of Mozart music therapy in reducing the intensity of auditory hallucinations in schizophrenia patients.
Methods: This research used a descriptive case study design with a nursing approach. The subject was a 43-year-old female patient with a diagnosis of paranoid schizophrenia (F20.0) who experienced severe auditory hallucinations. Interventions in the form of Mozart music therapy were given twice a day for five consecutive days, 5–10 minutes each using a headset. The patient also received Implementation Strategies (SP) 1–4 which included hallucination education, rebuke training, therapeutic communication, and structured activities. Evaluation was done through observation, interviews, and the Auditory Hallucination Rating Scale (AHRS) instrument.
Result: The results showed a decrease in the AHRS score from 31 to 16, accompanied by improved concentration, the ability to distinguish reality, and increased engagement in social activities. The patient was able to control hallucinations more effectively. Mozart music therapy helped reduce activation in the limbic system.
Conclusions: Mozart music therapy combined with SP 1–4 was an effective, applicable, and low-cost non-pharmacological intervention to reduce auditory hallucinations in patients with schizophrenia.